person
Mrs. Renee Licorish, DNP,APRN,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Live Oak, Texas
NPI 1437618097

Renee Licorish is a Psychiatric/Mental Health Nurse Practitioner based in Live Oak, TX and is specialized in Psychiatric/Mental Health. Renee Licorish practices in Live Oak, TX and has the professional credentials of DNP,APRN,PMHNP-BC. The NPI Number for Renee Licorish is 1437618097 and holds a License No. AP140787 (Texas).

The current practice location address for Renee Licorish is 12702 Toepperwein Rd Ste 201, Live Oak, TX and can be reached out via phone at 210-475-3617 and via fax at 855-631-4341.

Location: 12702 Toepperwein Rd Ste 201, Live Oak, TX, 78233-3267
person
Provider Profile Details
NPI Number
1437618097
Provider Name
Renee Licorish
Credential
DNP,APRN,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
12702 Toepperwein Rd Ste 201, Live Oak, TX, 78233-3267
Phone Number
210-475-3617
Fax Number
855-631-4341
Provider Enumeration Date
03/13/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12702 Toepperwein Rd Ste 201
City
State
Zip
78233-3267
Phone Number
210-475-3617
Fax Number
855-631-4341
person
Provider Business Mailing Address Details
Address
12702 Toepperwein Rd Ste 201
City
State
Zip
78233-3267
Phone Number
210-475-3617
Fax Number
855-631-4341
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
AP140787 (Texas)
Definition
Definition to come...
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